Individual
JOHN C MATUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8000 USTICK RD, BOISE, ID 83704-5751
(208) 377-0252
(208) 377-0256
Mailing address
8000 USTICK RD, BOISE, ID 83704-5751
(208) 377-0252
(208) 377-0256
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D1567
ID
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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